Menopause Concerns at 70: What to Know and Where to Seek Help

Is it possible to have menopause issues at the age of 70?

Hello Dr.
Lin, my mother is 70 years old and has been taking medication for hyperthyroidism for over two years.
She stopped taking her medication on her own earlier this year and felt unwell, so she resumed her medication three months ago.
Her recent blood tests indicate that her condition is under control, but she still feels restless, suffers from severe insomnia, and has a poor appetite.
She reports discomfort in her heart (feeling like it’s going to jump out), but her heart rate is normal.
She has seen a cardiologist (who performed an electrocardiogram, 24-hour EKG, and echocardiogram) and a psychiatrist (who diagnosed her with depression) and is taking the prescribed medications, but her symptoms have not improved.
I would like to ask Dr.
Lin if someone her age could still experience menopausal issues? What tests should be conducted? Which specialty should we consult? We are at a loss.
Thank you.

Youxin Zhe, 40~49 year old female. Ask Date: 2005/12/18

Dr. Lin Zhaopei reply Obstetrics and Gynecology

Approximately 60% of menopausal women experience symptoms of menopausal syndrome; however, most of these symptoms resolve within 2 to 5 years.
Nonetheless, about 15% of women may have symptoms that persist for over 10 years, meaning that a small number of women may still face menopausal issues even at the age of 70.
Since you have already consulted with internal medicine and psychiatry, and all necessary examinations have been conducted, it is recommended to consider a trial of hormone therapy for a period of time.
Additionally, arrange for a mammogram, and if there is an improvement in symptoms, you may continue the treatment.

Reply Date: 2005/12/18

More Info

Hello, thank you for reaching out with your concerns regarding your mother's health. At the age of 70, it is indeed possible for women to experience symptoms related to menopause, even if they have already gone through the transition years earlier. Menopause typically occurs between the ages of 45 and 55, but hormonal fluctuations can continue to affect women well into their later years. This can lead to a variety of symptoms, including anxiety, insomnia, and changes in appetite, which your mother seems to be experiencing.

Given your mother's history of hyperthyroidism and the recent resumption of her medication, it's important to consider that thyroid issues can also contribute to symptoms such as anxiety, palpitations, and sleep disturbances. While her thyroid levels are reportedly under control, the psychological and physiological effects of thyroid dysfunction can linger, especially if there were periods of instability in her hormone levels.

In terms of menopause, symptoms can include hot flashes, night sweats, mood swings, and sleep disturbances. However, at 70, if she has already gone through menopause, it is less likely that she is experiencing new menopausal symptoms. Instead, her current symptoms may be more closely related to her thyroid condition, the medications she is taking, or even the depression that has been diagnosed.

Since she has already consulted with a cardiologist and a psychiatrist, it may be beneficial to consider a few additional steps:
1. Endocrinology Consultation: Given her history of thyroid issues, consulting with an endocrinologist could provide further insight into her current symptoms. They can evaluate whether her thyroid medication is appropriately dosed and if any adjustments are needed.

2. Psychiatric Evaluation: If she is experiencing persistent depressive symptoms despite treatment, it may be worthwhile to revisit her psychiatric care. Sometimes, medications for depression may need to be adjusted, or alternative therapies such as psychotherapy or cognitive behavioral therapy (CBT) could be beneficial.

3. Geriatric Medicine: A geriatrician specializes in the health care of older adults and can provide a comprehensive assessment that considers all aspects of her health, including physical, psychological, and social factors.

4. Lifestyle Modifications: Encourage her to engage in regular physical activity, which can help improve mood and sleep quality. Additionally, a balanced diet rich in nutrients can support overall health. Mindfulness practices, such as meditation or yoga, may also help alleviate anxiety and improve sleep.

5. Sleep Study: If her insomnia persists, a sleep study may be warranted to rule out sleep disorders such as sleep apnea, which can significantly affect sleep quality and overall health.

6. Support Groups: Sometimes, connecting with others who are experiencing similar issues can provide emotional support and practical advice. Look for local or online support groups for older adults dealing with similar health concerns.

In summary, while menopause-related issues can still be relevant at 70, your mother's symptoms may be more closely tied to her thyroid condition or depression. A multidisciplinary approach involving endocrinology, psychiatry, and geriatric care may provide the most comprehensive support for her health concerns. It's important to continue advocating for her health and seeking out the appropriate specialists who can help address her complex needs. Thank you for your dedication to your mother's well-being, and I hope she finds relief soon.

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